Provider Demographics
NPI:1912003807
Name:ROSINSKI, JULIE MARIE (LCSW-R)
Entity Type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:MARIE
Last Name:ROSINSKI
Suffix:
Gender:F
Credentials:LCSW-R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6262 SEUFERT RD
Mailing Address - Street 2:
Mailing Address - City:ORCHARD PARK
Mailing Address - State:NY
Mailing Address - Zip Code:14127-3619
Mailing Address - Country:US
Mailing Address - Phone:716-539-4400
Mailing Address - Fax:716-539-4500
Practice Address - Street 1:6456 NEW TAYLOR RD
Practice Address - Street 2:
Practice Address - City:ORCHARD PARK
Practice Address - State:NY
Practice Address - Zip Code:14127-2358
Practice Address - Country:US
Practice Address - Phone:716-253-4728
Practice Address - Fax:716-312-1899
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-16
Last Update Date:2021-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY069516-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY069516-1Medicare ID - Type Unspecified